Figure 3From: Myoclonus ataxia and refractory coeliac disease MR spectroscopy (case1). MR spectroscopy of the vermis before (upper trace) and 10Â months after (lower trace) the introduction of mycophenolate. Patient already on gluten free diet for several years but with refractory coeliac disease (type 2). The NAA peak significantly increased as did the NAA/Cr (from 0.68 to 0.96). This was associated with clinical improvement of the ataxia.Back to article page